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Radiothérapie en conditions stéréotaxiques des cancers bronchiques de stade I

Stereotactic body radiotherapy for stage I non-small cell lung cancer

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Oncologie

Abstract

Stereotactic body radiotherapy (SBRT) is an innovative irradiation technique which delivers high dose per fraction in a highly accurate way. It allows to treat medically inoperable patients with non-small cell lung cancer, with impressive local control rates and a very little toxicity. The different SBRT techniques available are presented in this article. Results from literature studies of SBRT for stage I non-small cell lung cancer are reviewed.

Résumé

La radiothérapie en conditions stéréotaxiques (RTCS) extra-crânienne est une technique innovante en radiothérapie qui délivre de fortes doses par fractions avec une précision millimétrique. Cette technique permet de traiter avec un fort taux de contrôle local et une toxicité modérée des patients porteurs de cancer bronchique non à petites cellulesmédicalement inopérables. Après avoir décrit les différentes techniques de RTCS, cet article présente une revue de la littérature des résultats de la RTCS appliquée aux cancers bronchiques de stade I.

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Références

  1. Baba F, Shibamoto Y, Ogino H, et al. (2010) Clinical outcomes os stereotactic body radiotherapy for stage I non-small cell lung cancer unsig different doses depending on tumor size. Radiat Oncol 5: 81–88

    Article  PubMed  Google Scholar 

  2. Bauman P, Nyman J Hoyer M, et al. (2009) Outcome in a prospective phase II trial of medically inoperable stage I non-small-cell lung cancer patients treated with stereotactic body radiotherapy. J Clin Oncol 27: 3290–3296

    Article  Google Scholar 

  3. Fakiris AJ, McGarry RC, Yiannoutsos CT, et al. (2009) Stereotactic body radiation therapy for early stage non-small cell lung carcinoma: four-year results of a prospective phase II study. Int J Radiat Oncol Biol Phys 75: 677–82

    Article  PubMed  Google Scholar 

  4. Fritz P, Kraus HJ, Muhlnickel W, et al. (2006) Stereotactic, sigle dose irradiation of stage I non small cell lung cancer and lung metastases. Radiat Oncol 1: 30

    Article  PubMed  Google Scholar 

  5. Grills I, Mangona V, Welsh R, et al. (2010) Outcomes After Stereotactic Lung Radiotherapy or Wedge Resection for Stage I Non-Small-Cell Lung Cancer. J Clin Oncol; 28: 928–935

    Article  PubMed  Google Scholar 

  6. Grutters J, Kessels A, Pijls-Johannesma M, et al. (2010) Comparison of effectiveness of radiotherapy with photons, protons and carbon-ions for non-small cell lung cancer: a meta-analysis. Radiother Oncol 95: 32–40

    Article  PubMed  CAS  Google Scholar 

  7. Hara R, Itami J, Kondo T, et al. (2006) Clinical outcomes of single-fraction stereotactic radiation therapy for lung tumors. Cancer 106: 1347–1352

    Article  PubMed  Google Scholar 

  8. Heinzerling J, Kavanagh B, Timmerman R (2011) Stereotactic ablative radiation therapy for primary lung tumors. Cancer J 17: 28–32

    Article  PubMed  Google Scholar 

  9. Jeremic B, Classen J, Bamberg M (2002) Radiotherapy alone in technically operable, medically inoperable, early stages (I/II) non small cell lung cancer. Int J Radiat Oncol Biol Phys 54: 119–130

    Article  PubMed  Google Scholar 

  10. Lagerwaard FJ, Haasbeek CJ, Smit EF, et al. (2008) Outcomes of risk-adapted fractionated stereotactic radiotherapy for stage I non-small cell lung cancer Int J Radiat Oncol Biol Phys 70: 685–692

    Article  PubMed  Google Scholar 

  11. Leskell L (1951) The stereotactic method and radiosurgery of the brain. Acta Chir Scand 102: 316–319

    Google Scholar 

  12. Mutter R, Liu F, Abreu A, et al. (2011) Dose-volume parameters predict for the development of chest wall pain after stereotxtic body radiation for lung cancer. Int J Radiat Oncol Biol Phys, in press

  13. Nagata Y, Takayama K, Matsuo Y, et al. (2005) Clinical outcomes of a phase I/II study of 48 Gy of stereotactic body radiotherapy for primary lung cancer using a stereotactic bodyframe. Int J Radiat Oncol Biol Phys 63: 1427–431

    Article  PubMed  Google Scholar 

  14. Olsen, JR, Robinson CG, El Naqa I, et al. (2011) Response for Stereotactic body radiotherapy in early-stage non-small cell lung cancer. Int J Radiat oncol Biol Phys 81: e299–e303

    Article  PubMed  Google Scholar 

  15. Ong C, Palma D, Vebakel W, et al. (2010) Treatment of large stage I–II lung tumours using stereotactic body radiotherapy (SBRT): planning considerations and early toxicity. Radiother Oncol 97: 431–436

    Article  PubMed  Google Scholar 

  16. Onishi H, Nagata S, Hiraoka M, et al. (2011) When is SBRT best? J Thorac Oncol 6: S262

    Google Scholar 

  17. Onishi H, Shirato H, Nagata Y, et al. (2007) Hypofractionated Sterotactic Radiotherapy for stage I non-small cell lung cancer: updated results of 257 patients in a japanese multi-institutional study. J Thorac Oncol 2: S94–S100

    Article  PubMed  Google Scholar 

  18. Ricardi U, Filippi AR, Guarneri A, et al. (2010) Stereotactic body radiation therapy for early stage non-small cell lung cancer: results of a prospective trial. Lung Cancer 68: 72–77

    Article  PubMed  Google Scholar 

  19. Shibamoto y, Hashizume C, Baba F, et al. (2011) Streotactic body radiotherapy using a radiobiology-based regimen for stage I nonsmall cell lung cancer. Cancer, in press

  20. Sibley GS (1998) Radiotherapy for patients with medically inoperable Stage I nonsmall cell lung carcinoma: smaller volumes and higher doses — a review. Cancer 82: 433–438

    Article  PubMed  CAS  Google Scholar 

  21. Stephans KL, Djemil T, Reddy CA, et al. (2009) A comparison of two stereotactic body radiation fractionation schedules for medically inoperable stage I nonsmall cell lung cancer: the Cleveland Clinic Experience. J Thorac Oncol 4: 976–982

    Article  PubMed  Google Scholar 

  22. Taremi M, Hope A, Dahele M, et al. (2011) Stereotactic body radiotherapy for medically inoperable lung cancer: prospective, single-center study of 108 consecutive patients. Int J Radiat Oncol Biol Phys, in press

  23. Timmerman R (2008) An overview of hypofractionation and introdiction to this issue of Seminars in Radiation Oncology. Rad Oncol 18(4): 215–222

    Google Scholar 

  24. Timmerman R, McGarry R, Yiannoutsos C, et al. (2006) Excessive toxicity when treating central tumors in a phase II study of stereotactic body radiation therapy for medically inoperable early stage lung cancer. J Clin Oncol 24: 4833–4839

    Article  PubMed  Google Scholar 

  25. Timmerman R, Paulus R, Galvin J, et al. (2010) Stereotactic body radiation therapy for inoperable early stage lung cancer JAMA 303: 1070–1076

    Article  PubMed  CAS  Google Scholar 

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Correspondence to I. Martel-Lafay.

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Martel-Lafay, I. Radiothérapie en conditions stéréotaxiques des cancers bronchiques de stade I. Oncologie 14, 282–288 (2012). https://doi.org/10.1007/s10269-012-2154-9

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  • DOI: https://doi.org/10.1007/s10269-012-2154-9

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